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Individual

DR. KAVYA SUDANAGUNTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
660 S EUCLID AVE, CB 8131, SAINT LOUIS, MO 63110-1010
(314) 362-7200
(314) 747-4189

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021025939
MO
2085R0202X
Diagnostic Radiology Physician
W1005
TX

Other

Enumeration date
09/01/2016
Last updated
12/10/2025
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